<form id="info-form" class="form-horizontal" action="" method="POST">
<div class="row-fluid" style="margin-bottom:-30px;" >
               <fieldset>
                    <div id="legend" class=""><legend class="">Seller Information</legend></div>
                    <div class="span4" style="width: 29.624%">
                         <div class="control-group">

                              <!-- Text input-->
                              <label class="control-label" >Caller Name</label>
                              <div class="controls">
                                <input id="c_first_name" placeholder="" class="input" type="text">
                                <p class="help-block"></p>
                              </div>
                            </div>
                        <div class="control-group">

                              <!-- Text input-->
                              <label class="control-label" >Address</label>
                              <div class="controls">
                                <input id="c_street_address" placeholder="" class="input" type="text">
                                <p class="help-block"></p>
                              </div>
                        </div>
                        <div class="control-group">

                              <!-- Text input-->
                              <label class="control-label" >Zip Code</label>
                              <div class="controls">
                                <input id="c_zip" placeholder="" class="input" type="text">
                                <p class="help-block"></p>
                              </div>
                        </div> 
                        <div class="control-group">

                              <!-- Text input-->
                              <label class="control-label" >E-mail</label>
                              <div class="controls">
                                <input id="c_email" placeholder="" class="input" type="text">
                                <p class="help-block"></p>
                              </div>
                        </div>
                    </div>
                    <div class="span4" style="width: 29.624%">
                         <div class="control-group">

                              <!-- Text input-->
                              <label class="control-label" >Business Name</label>
                              <div class="controls">
                                <input id="c_business_name" placeholder="" class="input" type="text">
                                <p class="help-block"></p>
                              </div>
                            </div>
                        <div class="control-group">

                              <!-- Text input-->
                              <label class="control-label" >City</label>
                              <div class="controls">
                                <input id="c_city" placeholder="" class="input" type="text">
                                <p class="help-block"></p>
                              </div>
                            </div>
                        <div class="control-group">

                              <!-- Text input-->
                              <label class="control-label" >Phone 1</label>
                              <div class="controls">
                                <input id="c_phone" placeholder="" class="input" type="text">
                                <p class="help-block"></p>
                              </div>
                         </div>
                        <div class="control-group">

                              <!-- Select Basic -->
                              <label class="control-label">Contct Method</label>
                              <div class="controls">
                                <select id="c_contact_me" class="input">
                          <option></option></select>
                              </div>

                           </div>
                          
                    </div> 
                     <div class="span4" style="width: 29.624%">
                         <div class="control-group">

                              <!-- Text input-->
                              <label class="control-label" >Contact Name</label>
                              <div class="controls">
                                <input id="c_contact_name" placeholder="" class="input" type="text">
                                <p class="help-block"></p>
                              </div>
                            </div>
                          <div class="control-group">

                              <!-- Select Basic -->
                              <label class="control-label">State</label>
                              <div class="controls">
                                <select id="c_state" class="input"> </select>
                              </div>

                            </div>
                         <div class="control-group">

                              <!-- Text input-->
                              <label class="control-label" >Phone 2</label>
                              <div class="controls">
                                <input id="c_cell_phone" placeholder="" class="input" type="text">
                              
                              </div>
                            </div>
                      
                         
                     </div>
                </fieldset>   
            </div>
            <div class="row-fluid" style="margin-bottom:-30px;" >
                <fieldset>
                    <div id="legend" class=""><legend class="">Tow Information</legend></div>
                    <div class="span4" style="width: 29.624%">
                            <div class="control-group">

                              <!-- Text area -->
                              <label class="control-label">Seller Note</label>
                              <div class="controls">
                                <div class="textarea">
                                      <textarea id="c_seller_note" type="" class=""> </textarea>
                                </div>
                              </div>
                            </div>
                            <div class="control-group">

                              <!-- Text area -->
                              <label class="control-label">Transportaion Note</label>
                              <div class="controls">
                                <div class="textarea">
                                      <textarea id="c_transport_note" type="" class=""> </textarea>
                                </div>
                              </div>
                            </div>
                    </div>
                    <div class="span4" style="width: 29.624%">
                          <div class="control-group">

                              <!-- Select Basic -->
                              <label class="control-label">Transportation</label>
                              <div class="controls">
                                <select id="c_delivery" class="input"> </select>
                              </div>

                            </div>
                    </div>
                    <div class="span4" style="width: 29.624%">
                         <div class="control-group" >

                          <!-- Text input-->
                         <label class="control-label" for="">Remove By</label>
                          <div class="controls" >
                               
                              <input id="c_remove_by" class="input" type="date">
                           
                          </div>
                        </div>
                    </div>
                    
                </fieldset>
    
          </div>    

   
</form>  